Pedi CardioRef
Reference: ACC/AHA Sports Participation Recommendations (Circulation 2015) Task Force 9

participate in organized sports?

Should my patient with Atrial Fibrillation participate in organized sports?

Atrial Fibrillation


Should have workup including:

"Athletes with AF should undergo a workup that includes thyroid function tests, queries for drug use, ECG, and echocardiogram (Class I Recommendation; Level of Evidence B)."


Low risk AF, well tolerated, self-terminating

"Athletes with low-risk AF that is well tolerated and self-terminating may participate in all competitive sports without therapy."

Can participate in all sports without therapy

Class I Recommendation; Level of Evidence C

On antithrombotic therapy other than ASA

"In athletes with AF, when antithrombotic therapy, other than aspirin, is indicated, it is reasonable to consider the bleeding risk in the context of the specific sport before clearance."

Consider bleeding risk before clearance

Class IIa Recommendation; Level of Evidence C

Ablation candidate

"Catheter ablation for AF could obviate the need for rate control or antiarrhythmic drugs and should be considered."

Consider ablation for AF

Class IIa Recommendation; Level of Evidence B

Reference: Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 9. A Scientific Statement From the AHA and ACC. Circulation 2015

Disclaimer: This website is derived from published guidelines, but does not constitute medical advice nor does it replace clinical judgement. Only the text in quotation marks are direct quotations from the original guidelines. Text not in quotations as well as the method of information display are all that of the website creator and are not part of the original published guidelines. Please consult a physician to discuss any patient-specific matters.

Key: AF = atrial fibrillation, ECG = electrocardiogram, TFT = thyroid function tests, ASA = aspirin